{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:38:47Z","timestamp":1787071127710,"version":"build-2736575974"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T00:00:00Z","timestamp":1769731200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>SCUT blocks the supraclavicular nerve (SCN) and upper brachial plexus trunk, and the clavipectoral fascia block (CPF) blocks the fascia-clavicle nerves. This study compares the SCUT block to the CPFS (CPF block and SCN block), which provides site-specific regional anesthesia (RA) for mid-clavicular surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods:<\/jats:title>\n                    <jats:p>A prospective, randomized controlled trial with two parallel arms and 1:1 allocation is presented here. 18\u201360-year-old ASA class 1 or 2 adults scheduled for unilateral mid-shaft clavicular surgery were studied. Group A received SCUT block (4 mL of 2% lidocaine + adrenaline, 4 mL 0.5% bupivacaine, and 2 mL dexamethasone). Group B received CPFS (CPF block and SCN block) with 16 mL of 2% lidocaine + adrenaline, 16 mL of 0.5% bupivacaine, and 2 mL of dexamethasone. Outcomes included block success, partial block success, failure, analgesia duration, and shoulder abduction after block.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 30 patients per group were studied. In the SCUT group, block onset time was 5 (2) min, with a 93% success rate, a procedure time of 12 (5) min, and an analgesia duration of 15 (1.75) hours. In comparison, CPFS block onset time was 6 (2) min, success rate was 80%, procedure time was 12 (3) min, and analgesia duration was 6 (2) hours. Shoulder abduction was absent in the SCUT group but present in the CPFS group in all blocked patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The SCUT and CPFS blocks are effective and site-specific for mid-shaft fracture clavicle surgery. However, the duration of analgesia is longer with the SCUT block requiring a lower drug volume. The CPFS block allows better shoulder movement. Both blocks have similar success rates, onset times, and procedure times.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/joacp.joacp_465_25","type":"journal-article","created":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T11:00:18Z","timestamp":1769770818000},"page":"268-273","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Effectiveness of supraclavicular nerve and upper trunk of brachial plexus (SCUT) block versus clavipectoral fascia and supraclavicular nerve block (CPFS) in mid-shaft clavicle fracture surgery \u2013 A randomized clinical trial"],"prefix":"10.4103","volume":"42","author":[{"given":"P Guru","family":"Sandya","sequence":"first","affiliation":[{"name":"Department of Anesthesia and Critical Care, IMS and SUM Hospital, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhavna","family":"Sriramka","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Critical Care, IMS and SUM Hospital, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1,30]]},"reference":[{"key":"R1-20260325","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1067\/mse.2002.126613","article-title":"Epidemiology of clavicle fractures","volume":"11","author":"Postacchini","year":"2002","journal-title":"J Shoulder Elbow Surg"},{"key":"R2-20260325","doi-asserted-by":"crossref","first-page":"11","DOI":"10.5312\/wjo.v13.i1.11","article-title":"Regional anesthesia for orthopedic procedures:What orthopedic surgeons need to know","volume":"13","author":"Kamel","year":"2022","journal-title":"World J Orthop"},{"key":"R3-20260325","doi-asserted-by":"crossref","first-page":"149","DOI":"10.4103\/aer.aer_80_22","article-title":"A prospective observational study of the efficacy of combined interscalene block and superficial cervical plexus block using peripheral nerve stimulator and landmark-based technique, as a sole anesthetic for surgeries on the clavicle in the COVID-19 Pandemic","volume":"16","author":"Majumdar","year":"2022","journal-title":"Anesth Essays Res"},{"key":"R4-20260325","doi-asserted-by":"crossref","first-page":"149","DOI":"10.4103\/aer.AER_185_18","article-title":"Ultrasound-guided inter-scalene brachial plexus block with superficial cervical plexus block compared with general anesthesia in patients undergoing clavicular surgery:A comparative analysis","volume":"13","author":"Banerjee","year":"2019","journal-title":"Anesth Essays Res"},{"key":"R5-20260325","doi-asserted-by":"crossref","first-page":"1683","DOI":"10.2147\/JPR.S496891","article-title":"Enhanced recovery after surgery (ERAS) protocols in orthopaedic surgery:opioids or not opioids?","volume":"18","author":"Grossi","year":"2025","journal-title":"J Pain Res"},{"key":"R6-20260325","doi-asserted-by":"crossref","first-page":"415","DOI":"10.4103\/ija.IJA_803_19","article-title":"Truncal injection brachial plexus block:A description of a novel injection technique and dose finding study","volume":"64","author":"Sivashanmugam","year":"2020","journal-title":"Indian J Anaesth"},{"key":"R7-20260325","doi-asserted-by":"crossref","first-page":"1076","DOI":"10.1136\/rapm-2021-103197","article-title":"Innervation of the clavicle:A cadaveric investigation","volume":"46","author":"Leurcharusmee","year":"2021","journal-title":"Reg AnesthPain Med"},{"key":"R8-20260325","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1097\/AAP.0b013e31819624eb","article-title":"Upper extremity regional anesthesia:Essentials of our current understanding, 2008","volume":"34","author":"Neal","year":"2009","journal-title":"Reg Anesth Pain Med"},{"key":"R9-20260325","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1097\/AAP.0b013e3182409168","article-title":"Ultrasound-guided suprascapular nerve block, description of a novel supraclavicular approach","volume":"37","author":"Siegenthaler","year":"2012","journal-title":"Reg Anesth Pain Med"},{"key":"R10-20260325","first-page":"e9072","article-title":"Ultrasound-guided clavipectoral fascial plane block for surgery involving the clavicle:A case series","volume":"12","author":"Kukreja","year":"2020","journal-title":"Cureus"},{"key":"R11-20260325","doi-asserted-by":"crossref","first-page":"656","DOI":"10.4103\/ija.ija_255_21","article-title":"Selective blockade of supraclavicular nerves and upper trunk of brachial plexus \u201cThe SCUT block\u201d towards a site-specific regional anaesthesia strategy for clavicle surgeries - 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